[44F] With severe body pain, mild chest pain, and chronic conditions
Question
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described and your medical history, here are some possibilities:
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Fibromyalgia: This condition can cause widespread musculoskeletal pain, fatigue, and other symptoms like sleep disturbances and cognitive difficulties. The sudden onset of throbbing pain after physical activity, like cleaning, could be indicative of fibromyalgia, especially since you've experienced similar pain in the past.
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Hypothyroidism Flare: Given your history of Hashimoto's thyroiditis and hypothyroidism, it's possible that your symptoms of fatigue, body pain, and feeling hot could be related to fluctuations in your thyroid hormone levels. This can sometimes happen even when on medication like Synthroid.
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Diabetic Neuropathy: Since you have diabetes, the body pain and lightheadedness could be related to diabetic neuropathy, a condition where high blood sugar levels cause nerve damage.
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Viral Infection: The combination of body pain, fatigue, nausea, and feeling hot could also suggest a viral infection, which can sometimes present with these symptoms.
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Medication Side Effects: Trulicity, a medication for diabetes, can sometimes cause side effects like nausea and fatigue, which might be contributing to your symptoms.
What you can do
All-over body pain and fatigue:
- Consult your doctor: It's important to discuss these symptoms with your healthcare provider, especially given their severity and impact on your daily life. They may want to adjust your medications or investigate further.
- Gentle exercise: Engage in low-impact activities like walking or stretching, which can help alleviate some pain and stiffness.
- Heat therapy: Applying a warm compress or taking a warm bath may help soothe muscle pain.
Chest pain:
- Monitor symptoms: Since the chest pain improved with aspirin, continue to monitor it. If it worsens or you experience new symptoms like shortness of breath, seek medical attention immediately.
Lightheadedness and nausea:
- Stay hydrated: Ensure you're drinking enough fluids, as dehydration can contribute to these symptoms.
- Eat small, frequent meals: This can help manage nausea and maintain energy levels.
General health:
- Track symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider. This can help identify patterns and inform treatment decisions.
What you should look out for
- Seek immediate medical attention if you experience severe chest pain, shortness of breath, or fainting, as these could be signs of a more serious condition.
- Monitor for new symptoms like swelling, redness, or warmth in specific areas, which could indicate an infection or other issue.
- Regular follow-ups with your healthcare provider are important to manage your existing conditions and adjust treatments as needed.
Remember, while I can provide guidance based on the information you've shared, it's crucial to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.
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3 mo ago